Showing posts with label diabetes. Show all posts
Showing posts with label diabetes. Show all posts

Friday, January 20, 2012

You might think...

... that after a while, the chorus of inaccurate information would be drowned in the sea of evidence. MSNBC's Health Today posted an article four days ago (I've been busy) on Paula Deen's diabetes. They basically say the same old tired non-sense about how it has nothing to do with what you eat, that if you only maintain your weight and exercise more you won't get diabetes, unless of course you are predisposed to it because of genetics.

What’s important when it comes to diabetes prevention is not what you eat, but rather, how much, said Linda Siminerio, director of the Diabetes Institute at the University of Pittsburgh Medical Center.

“To my knowledge no particular food has been linked to an increase in the risk of diabetes,” Siminerio said. “It’s being overweight and inactive.”


Linda Siminerio ought to be ashamed of herself. How does one become director of a Diabetes Institute without having a grasp on biochemistry? What in the hell does she think makes people gain weight? What food could be cut out to make them lose weight effortlessly? I'll give you three guesses. Carbohydrates(!) make you gain weight (if you are insulin resistant). End of discussion.

Excessive carbohydrate intake (along with damage to your mitochondria, maybe from eating trans-fats or all the fake processed crap or something else unknown or all of the above) exacerbate insulin resistance, which in time leads to diabetes. See! I understand that and I'm a freakin' artist. I'm probably more qualified than she is to talk about what diabetics and those at risk of diabetes ought to eat. Why? Because I have a brain, some common sense, and can look at the data and draw a conclusion. Ms. Siminerio on the other hand is beholden to the "establishment". She can't say anything that hasn't already been dictated or she'd probably lose her cushy position as director of some Institute on Something.

Oh, but you say, "Some people eat carbohydrates and they don't get fat or get diabetes." And I say, that's fantastic for them. The bottom line is, if your metabolism is "broken" you can't eat carbohydrates. I know, it's very sad. I like brioche and donuts as much as the next person. But like recovering alcoholics liking their alcohol, I know that if I eat them, I will gain all the weight back.

Here's the deal. Doctors and these "experts" are just humans. Half of them probably aren't even as smart as the average person. In fact, I've come to the conclusion that none of them have even half the common sense of your average American. That's a sad state of affairs. I've seen day laborers with more sense than Ms. Siminerio and her "expert" friends. Link

I'm rambling now, and I have a ton of other things to do than rage about the stupidity of people. How many more people have to DIE before these asshats stop spreading lies and misinformation? >_<

I'll leave you with something heartening, on the way home today, I saw a sign at a local Tex Mex place that said "Low Carb Plate $7.95" :)


Wednesday, August 17, 2011

Texas Diabetes Council is Murdering Diabetics

The Texas Diabetes Council is trying to murder diabetics. I downloaded their food guide on a lark, and it basically mirrors the crappy food pyramid that the government advocates. They tell diabetics to eat six or MORE servings of bread per day. Hello? Bread is the same as sugar. But oh, sugar is okay for diabetics according to their food guide, but fat isn't.

Excuse me, but what the hell is wrong with these people? Why? I feel some days like I'm living in Orwell's 1984. Freedom is slavery, war is peace, sugar is good for diabetics.

They advocate a no to low fat diet. Since one can only eat so much protein, that means they advocate a high carbohydrate/sugar diet for diabetics. I'm sorry, Texas Diabetes Council, 1960 called. It wants it's diabetic diet back.

If you'd like to call them and ask why they're killing diabetics, their phone number is 1.888.963.7111 Ext 7490, or you can write them at PO Box 149347 MC 1965, Austin TX 78714-9347.

Or you can go in person:
Next Quarterly Texas Diabetes Council Meeting: October 27, 2011, 1:00 p.m., Texas Department of State Health Services, 1100 West 49th Street, Austin, TX 78756

THEY'RE KILLING PEOPLE WITH THEIR BAD, INACCURATE AND FRAUDULENT ADVICE, FUNDED BY OUR TAX DOLLARS. These "authorities" publish a message that is contrary to all of the scientific evidence, a message that makes people sicker so they have to rely on drugs, which ultimately makes them so sick they tax our healthcare system, which we ALL pay for. This nonsense, it makes me absolutely livid. How many more people have to DIE because of their bad advice?


Friday, June 24, 2011

Vitamin D deficiency and Type 2 Diabetes

In the early part of the 20th century, a disease called Pellagra was thought to be caused by a virus or bacteria. It was common in the lower classes, but also did show up on occasion in more wealthy people. It was thought to be a "dirty" disease, and there was a stigma attached to contracting it. One of the people who contracted Pellagra was my husband's great-great grandmother. She died at a hospital in Dallas in 1922 from the disease. However, her death, and thousands of others were completely preventable. It turned out that Pellagra was a vitamin B3 deficiency.

Now we blame obesity and type 2 diabetes solely on what people are eating, but what if the catalyst for obesity and T2D is really something else entirely? What if it's a vitamin D deficiency? I found the following article at Science Direct:

The role of vitamin D deficiency in the pathogenesis of type 2 diabetes mellitus

Vitamin D can be obtained either through dietary intake or produced endogenously. It is found in foods such as oily fish (salmon, sardines, mackerel), egg yolks and fortified milk and juice; however dietary intake only accounts for about 30% of the vitamin D obtained. The primary route via which people obtain vitamin D is through exposure to ultraviolet B (UVB) sunlight at wavelengths between 290–315 nm, occurring predominantly in the summer months (June–July) in the Northern hemisphere (latitude >= 42° N).

In other words, if you're not getting a lot of sun, you should probably be supplementing Vitamin D3. I find it interesting that the pushing of the use of sunscreen coincides with the rise of obesity and diabetes in this country. Of course that's when our sugar intake increased too. Maybe it was the perfect storm?

Sunscreen wasn't in widespread use until the 1980s. Prior to that, beach goers might put zinc oxide on their noses, but that was about it. Then with the erroneous idea that the sun causes malignant cancer, enter the sunscreen industry. Like many things, drugs, food, etc. most research about sunscreen is funded by the sunscreen industry. They're out to sell you a product. If you die in twenty years because of it, well, they've made their money.

Glucose sensors located on β-cells sense increases in blood glucose levels despite increases in insulin secretion; the persistent hyperglycemia triggers a series of events which ultimately leads to an increase in β-cell expression, β-cell mass and enhanced secretory capacity of the pancreas. This compensatory increase in insulin secretion explains why some highly insulin resistant individuals never develop T2DM. In a study which examined pancreatic tissue from obese, non-diabetic individuals, relative β-cell volume of the pancreas was 50% greater in obese individuals than in their lean, non-diabetic counterparts (2.6 ± 0.39% vs. 1.71 ± 0.28%, P = 0.05), suggesting that these obese individuals did not progress to T2DM because they were able to increase their insulin production capacity by increasing β-cell mass. Individuals with T2DM do not experience this increase in β-cell mass, in fact there is a significant decrease in β-cell mass.
So long as your body can continue to manufacture insulin to store fat, you will probably not develop Type 2 Diabetes. It is only when this system fails that T2D occurs. Some morbidly obese people do not develop diabetes and it is because they can continue to get fat. A deficiency in Vitamin D may make it difficult for your β-cells to fucntion properly. Another explanation for why some obese people may not develop diabetes is because they're not vitamin D deficient, or if they are, for some reason they require less vitamin D than others.

The identification of the 1α(OH)ase in β-cells suggests that 1,25(OH)2D3 may play a role in overall β-cell function. In vitro and in vivo studies have ascertained that 1,25(OH)2D3 is essential for insulin secretion and glucose homeostasis. VDR mutant mice show a significant decrease in insulin mRNA levels when compared to controls, suggesting that 1,25(OH)2D3 may be required for insulin synthesis.
This isn't just something they've tried in a test tube. In vivo studies show that Vitamin D3 is essential for keeping blood sugar levels normal.

Lastly, obese individuals are often vitamin D deficient due to a decrease in the bio-availability of vitamin D metabolites which may explain why obesity is a risk factor for developing T2DM, although this association is only speculative...

Vitamin D deficiency increases peripheral tissue insulin resistance in addition to decreasing insulin secretion from pancreatic β-cells.

I would argue that they've forgotten that correlation is not causation. Say it with me, correlation is not causation. Associations are also not cause. Did it occur to them that (besides eating way too much sugar and way too many processed vegetable oils) that a deficiency in Vitamin D3 may be a catalyst for obesity? Obesity and insulin resistance go hand in hand. One may cause the other, or both may be caused by something else entirely. Or it's a chain reaction. Something causes insulin resistance which in turn causes obesity. I'm voting on that last one.

Another interesting article I found that has to do with how vitamin D deficiency may lead to breast, cervical and ovarian cancer. If you're not getting enough sun, I think it's a good idea to supplement Vitamin D3. It's cheap and the pills are small and easy to swallow.

Monday, March 14, 2011

When you're metabolically screwed up, the study of "normal" people tells you nothing

Is it possible that sugar is the culprit behind metabolic syndrome? It seems that glucose and fructose together are bad news. I found an article to read last night, and saved it because it was late at the time. I've spent the last couple of hours reading it (and looking up biochemistry terms LOL).

The following are pieces of the article that I found the most interesting. Remember, if you don't have access to scholarly databases and want to read the article, you should be able to get a log-in for your local public library's proxy and then be able to look up journal articles.


1.) Low glycogen promotes insulin action, whereas high glycogen promotes insulin resistance. Glycogen is primarily elevated by eating carbohydrates.
"Prevention of glycogen synthesis, by fasting or feeding a low-carbohydrate/high-fat diet, results in a persistence of contraction and insulin-mediated glucose transport that lasts as long as carbohydrates are not consumed. This line of work shows that low glycogen promotes increased insulin action, whereas high glycogen promotes insulin resistance."


2.) People who are metabolically damaged respond more positively to restricting carbohydrate intake than people who are not metabolically damaged.
"That patients with MetS [metabolic syndrome] might be particularly sensitive to carbohydrate restriction was suggested by Cornier et al. [28] who compared the response of obese insulin-sensitive and obese insulin-resistant subjects randomized to either a high-carbohydrate (60%) or lower carbohydrate (40%) diet. Weight loss was similar for the insulin-sensitive group irrespective of carbohydrate level. The most striking result was that only the insulin-resistant group showed a major change in any lipid parameter with a 42% average decrease in TG on lower carbohydrate, and a 27% increase on higher carbohydrate. That individuals with MetS or insulin resistance syndrome respond better to restricting carbohydrates than fat is consistent with intolerance to carbohydrate as the fundamental metabolic problem."


3.) The saturated fat levels in your blood are higher when eating carbohydrates. Go figure.
"If carbohydrate intake were low enough to decrease levels of glucose and insulin, however, a high SFA intake would be processed very differently. We recently showed, for example, a disconnect between dietary SFA and plasma levels of SFA apparently due to the regulatory role of dietary carbohydrate in controlling de novo lipogenesis (DNL)...

A notable result was that, despite a 3-fold higher intake of dietary saturated fat during the VLCKD [very low carb], saturated fatty acids in TG [triglyceride] and cholesteryl ester were significantly decreased compared to subjects consuming the LFD [low fat diet]. That this was due to a decrease in DNL [de novo lipogenesis] was shown by a corresponding reduction in palmitoleic acid (16:1n-7), an endogenous indicator of this process."

4.) Glucose, independent of insulin, also has an effect on fat storage.
"Expression of the lipogenic genes occurs without any apparent effect of insulin indicating one way in which glucose directly regulates nutrient partitioning."

5.) It's not about calories per se.
"It is worth noting that many changes in lipid metabolism during fasting are due to the specific removal of carbohydrate as opposed to a general elimination of calories."

6.) This was the most interesting one. Insulin resistance occurs in the muscles and liver first, and when this happens, your body has no choice but to convert the glucose in your blood stream into fat (either de novo lipogenesis or manufacture of triglycerides). This is an interesting concept on a few levels. One thing is, any studies done on people who are NOT insulin resistant could be IRRELEVANT for those who are.


("There are truths which are not for all men, nor for all times."--Voltaire)
"The fate of a dietary carbohydrate load in lean insulin-resistant and insulin-sensitive men was determined using a combination of 1H and 13C NMR spectroscopy to assess liver and muscle triglyceride and glycogen synthesis, respectively, and deuterium enrichment to assess de novo lipogenesis. The insulin-resistant men showed impaired skeletal muscle and hepatic glycogen formation following intake of dietary carbohydrate. Consistent with the paradigm presented in Fig. 1, dietary carbohydrate in the insulin-resistant group was instead diverted toward hepatic DNL [de novo lipogenesis] and TG [triglyceride] synthesis that contributed to a significant increase (60%) in plasma TG levels."

7.) A short study probably shows jack when it comes to metabolism.
"The time course of metabolic adaptations is also variable; some lipolytic adaptations occur within a week (e.g., gene expression of FAT/CD36 and b HAD) while others take longer (e.g., FABP and CPT I). Several weeks may be necessary for complete switch to optimal fat utilization."

8.) Fatty acid oxidation is increased with carbohydrate restriction. According to Lippincott's Illustrated biochemistry text, fatty acid oxidation is the primary source of fuel when starving. We know that decreased carbohydrate intake is similar to starving when it comes to how your body mobilizes fat stores.
"The hormonal changes that accompany carbohydrate restriction, fasting or continued physical activity lead to inhibition of glycogen synthesis and inactivation of acetyl-CoA carboxylase and a fall in malonyl-CoA levels which, in turn, relieves inhibition of carnitine transport and thereby stimulates fatty acid oxidation."

All very interesting stuff.

Sunday, March 13, 2011

A Faith Based Diet

You know why a lot of people hate Gary Taubes so much? Besides the fact that Good Calories, Bad Calories blew their idea of what was 'truth' out of the water, they're pissed because what he shows is that if you're overweight or obese, it isn't your fault. Basically, you don't eat too much, and you've been lied to. OMG, how can that be? Aren't fat people just gluttonous? Slothful? How can it be that they're not?

How can it be that you'd be such a prick to think otherwise? Or isn't that how society sets everyone up to be? It's a sort of blame-the-victim game. This can even be seen in texts on biochemistry. In Lippincott's Illustrated text, they say that β-cell death in Type 1 diabetes is caused probably by a virus. With Type 2, people don't become diabetic until their pancreas can't keep up. In other words, their β-cells have failed to produce enough insulin. What's Type 2 caused by? Obesity. Yes, you read that right. Obesity caused Insulin Resistance, which lead to Type 2. But, really? This is after they say that Type 2 (as well as weight) is heavily influenced by genetics. Is it not possible that Insulin Resistance is caused by a virus? Or that Insulin Resistance is the cause of obesity, not the other way around. It's a chicken-or-the-egg argument. I've also read that some people are insulin resistant, and not overweight. Normal weight people can become Type 2 diabetic. When it's a disease, it would be rude to say it's the person's fault. Therefore we can't call obesity a disease, or how else could it be socially acceptable to degrade fat people?

Also, who *wants* to be obese? Besides this crazy woman... Most people who struggle with their weight do so while trying to do something about it. Eventually they give up because they figure by starving themselves, they're doing more harm than good. And who likes to go around hungry all the time? I did lose weight eating a low calorie diet. But you can't keep doing that, so you go back to eating enough food to satiate you (as all skinny people do), and you wind up gaining what you lost back, and then some.

And then people like Atkins and Gary Taubes come along, and they tell you it isn't your fault, it's *what* you're eating, not how much. And all the little skinny ass people who have never been fat a day in their life and can eat however they like self-righteously tell you that people like Atkins are full of it, and if only everyone would eat the way they eat (which it seems is usually vegan or vegetarian, even though there are plenty of overweight vegans and vegetarians, because YOU'RE DOING IT WRONG!), they'd lose weight.

That whole "you're doing it wrong" mentality is about as brilliant as some of the trolls I've seen on message boards. Just because you're not insulin resistant and/or don't have a hormonal imbalance with insulin, doesn't mean that you're doing something "right". It just means that you're not metabolically messed up.

I also doubt that most people who criticize Atkins or Taubes have ever read what they wrote. And in the case of Good Calories, Bad Calories, *if* they read it, they probably didn't understand it. This is where they resort to ad hominem attacks, because they have nothing else. I've read GCBC twice, and it's not an easy read. And I read plenty of intense books all the time. What artist do you know who reads Lippincott's biochemistry for fun? If you know of another artist who does, I'd love to meet them LOL!

I also understand that there is a group of people who don't have any critical thinking skills, who will follow whatever their doctors or their gurus tells them. They never look into anything for themselves. These are the same people who go on statins because they're scared of their cholesterol (hello! cholesterol is required for cell wall stability). They're the same people who parrot crap on message boards as if it's incontrovertible truth. I tell you, some diet advocates that I've seen put Catholics to shame when it comes to faith. Evangelicals, if you want to convert someone, target the diet crowd. I'm betting a near 100% success rate.

Basically, it's a bunch of codswallop. If some diet works for you, great, do it. If you can drink a two liter bottle of Coca-cola every day and not gain an ounce, that's fantastic {/snark}. I'd prefer to cook my liver on something tastier than soda though, just so you know (pain au chocolat comes to mind). If a diet doesn't work, then don't do it. But don't stand there and tell me that it won't work for me, or that it will work for me. How in the hell do you know what works for me? Are you me? And also, why do you care what I put in my mouth? If you care so much about what I, a complete stranger to you, eats, I suggest you do something important: Get a life.

Postscript:
If low carb diet isn't working for you, before you give up on it, a suggestion is to add more fat and less protein. A lot of low-carbers fall into the "fat is bad" mentality and don't eat enough fat. Depending upon how screwed up your hormones and cells are, too much protein may be triggering too much insulin, which if you're trying to lose weight, may cause you to plateau.

Friday, March 11, 2011

The Cholesterol Lie: They'll never let it go

If you've read anything by Uffe Ravnskov, you'll know that cholesterol does not cause heart disease. So, when I read this article this evening, I thought, they'll never let it go will they?

Fat Alone, Not Where It Sits, May Be Key to Heart Problems

"That challenges the widely adopted notion that not all obesity is alike, with so-called apple-shaped people, who carry fat mainly in their midsections, facing a bigger risk for heart problems than those whose excess fat is carried on the hips or elsewhere.

Not so, say the researchers behind the new study. When it comes to obesity and heart disease, no excess fat is good fat, regardless of where it ends up, their analysis has found.

"Society has accepted the idea that if you carry more weight around the middle, your risk of heart disease is higher," said Dr. Emanuele Di Angelantonio, the study's co-author and a lecturer in medical screening at the University of Cambridge in England. "But actually this study shows that it doesn't matter where your fat is located. If you're overweight you're at risk, full stop."...

They also found that tracking a person's blood pressure and cholesterol levels, as well as monitoring their history of diabetes, appeared to be best way to assess heart disease risk. When such indicators were readily available, they noted, adding in BMI and waist measurement information did not improve risk diagnosis..."

So, basically they do mention that diabetes is a risk factor for heart disease. What causes diabetes? Elevated blood sugar over a prolonged period of time that causes insulin resistance. What causes elevated blood sugar? Eating carbohydrates. Bleeding simple, and yet they're like Don Quixote, tilting at windmills. Forget testing for cholesterol. It's irrelevant! Test for blood glucose levels instead. That would give a better idea of whether someone is healthy or not.

If you are overweight, then you probably have elevated blood sugar and/or are insulin resistant. In fact, I'm not sure that it's possible to be overweight and NOT be insulin resistant. Hence why being obese is associated with cardiovascular disease, because every time your blood sugar is elevated, you are damaging your internal organs. Yes, you read that right. Every time you drink a Coca-Cola, every time you eat a piece of chocolate cake, you are DAMAGING YOUR INTERNAL ORGANS. In fact, even if you are not overweight and even if your insulin works well and it brings your blood sugar down quickly, it is probably never quick enough to completely avoid the damage that is done. Add this up over days and years, and you have cardiovascular disease. Not to mention all the other disease of civilization, like cancer. If you damage your cells repeatedly, they repair or regenerate themselves. If your cells are required to do this frequently, the cells regenerate quickly, leading to high cell turnover, leading eventually to a cell that doesn't regenerate in the right way, which leads to cancer.

The good thing is, your cells will repair themselves if given a chance. The bad news? You can never go back to eating the way you did if you want to remain healthy. You have to ask yourself what is more important. The slice of chocolate cake or your health? Death is inevitable. Health is your choice.

Tuesday, March 8, 2011

Eat Meat to Cut Stroke, Heart Disease Risk

Well, that wasn't the headline, but it should have been. An article I read today said that foods rich in potassium may cut the risk of heart disease and stroke. For those of you who don't know, potassium is what carries the electrical signals from your brain to your heart. I know this because low potassium, and because of that, sinus arrhythmia, run in my family.

When I ate the standard American diet, I used to get irregular heartbeat all the time. It's very upsetting, and once I wound up in the emergency room because I thought something was seriously wrong with my heart. They had me hooked up to an EKG and took blood and informed me that my potassium was low. The doctor told me to eat a banana.

Well, that's BS really. Bananas don't have much potassium in them. Potatoes have more, but they're not good for you either.

You know what has a lot of potassium in it? Meat. An 8oz steak has 850mg of potassium or about 25% of your recommended daily intake. Since eating low carb and trying to keep my food paleo friendly, I haven't had any problems with my potassium level, no sinus arrhythmia. Another thing that might help besides an increased intake in potassium, is that without elevated glucose and therefore elevated insulin levels my body may use the potassium more efficiently. I read somewhere that insulin interferes with the uptake of Vitamin C, and that raised glucose levels do as well (though which it is, is difficult to untangle since increased glucose leads to increased insulin). It stands to reason that glucose/insulin may interfere with other biological function too.

Of course, the press can't tell you to eat more meat, because that flies in the face of what they're advocating, which is a vegetarian (or better yet vegan) diet devoid of essential fatty and amino acids. Why are they advocating it? One could speculate, but what difference would it make?

Cholesterol and Colon Cancer

I read an article today about a study that showed that higher HDL could decrease the risk of colon cancer. If you realize that cholesterol is vital for cellular function, then it's not a stretch of the imagination that by lowering cholesterol, you're doing damage to your body.

The article states that this was independent of other markers for colon cancer, which "include inflammation, insulin resistance and oxygen free radicals."

What increases inflammation, insulin resistance and free radical formation? If you said Carbohydrates, you're correct! What do you suppose the article says you should do to reduce your risk? If you said limit intake of red meat, you are also correct! Except that red meat has nothing to do with it. The studies they cite that show that meat has anything to do with colon cancer do not control for variables. People eat hamburgers and then say the meat is responsible.

This is just one more reason, besides all the terrible side effects, of why you should avoid statins. Lowering cholesterol is the last thing you want to do. If you want to be healthy, and avoid these diseases, then avoid sugar and refined carbohydrates, and don't worry about your cholesterol. If you are overweight or diabetic, then you should probably limit all carbohydrate intake.

Thursday, February 24, 2011

Biochemistry for Artists?

We decided to order a biochemistry text book to read. I know, most people don't read biochemistry text books for fun, but then, we're not really like other people. I read the first chapter last night on amino acids, and was wishing that I remembered more of the one chemistry class that I had years ago, and that I had taken more of them. Luckily mum-in-law has a master's degree in Mycology... I'm relying on her to explain some of what I read LOL

I realized reading it, that most "professionals" that are telling you what to eat, don't know anything about biochemistry. And the prime example, is registered dietitians. I always thought that most people who became registered dietitians did so because they couldn't hack it in a real college. I figured most of them were beauty school dropouts. I suppose it just seems that way. They do have to have a four year degree and pass an exam, but there doesn't seem to be any standards about how many science classes they take, or if they even have to have an understanding of biochemistry. It seems they can have a four year degree in food service management with just the minimal science classes required to graduate with a bachelor's degree, and become one. I'm sorry, but there's something wrong with that.

Registered dietitians used to have the job of taking the orders of patients in hospitals for what they wanted to eat for their meals. Now, registered dietitians tell you what you should eat, with little or no understanding of biochemistry or the roles of fats and cholesterol in the VITAL FUNCTIONING OF CELLS. When you listen to dietitians, you're letting someone with an inadequate education and understanding of human biological processes tell you what to eat. You don't let your hairdresser perform brain surgery on you. Listening to a registered dietitian about what you should eat, is for lack of a better word, stupid.

It ought to be that anyone who wants to dispense dietary advice as a "professional" have a degree in biochemistry. Otherwise, they don't understand what they're advocating. If registered dietitians had biochemistry degrees, they wouldn't tell you that fat is bad for you.

Saturday, February 12, 2011

We reap what we sow...

And in this case, a lot of wheat and corn are sown, even by our frozen northern neighbors. Canadians are not immune to the bad dietary advice given here in the States. Indeed, it seems that the poor advice has spread pretty much the world over.

A few days ago, the Leader-Post, a Saskatchewan newspaper, published an online article about how "fresh artisan bread... and warm oatmeal raisin cookie[s]" can be part of a weight loss diet. I feel myself gaining weight just thinking about that. They deride the low carb diet, saying:
"Just eight years ago, the lowcarb wave rolled through North America. Admitting to eating bread or even starchy vegetables was like confessing to a crime. Carbs were cut out and weight was lost -initially. When the dust settled, weight was gained back. Low-carb stores closed for good."

First of all, I've never heard of anyone having a problem admitting to eating carbohydrates. It's more like the opposite, where you tell people you don't eat carbs and they look at you like you've got three heads. Secondly, low carb stores? Hmm, never had any of those here. Saskatchewan must be a strange place to live. Maybe the cold has something to do with it, but I digress.

Weight is gained back after going off a low-carb diet, because low carb isn't a temporary diet. You gained weight from eating carbohydrates in the first place, so of course when you go back to eating them, you gain the weight back. That's why Atkins has a maintenance phase, and the carbohydrate intake subsequently is based on how many carbs you can eat and still keep the weight off.

The article goes on to say:
"All vegetables, fruit and grain products are carbohydrates. Since a key weight-loss strategy is to make half the plate vegetables in most meals, eliminating carbs is illogical...

Unfortunately, the wrong carbs are everywhere. Forget to bring food for a busy day and it can mean game over. Many muffins, cookies and even sandwiches available on the go lack fibre. And if vegetables and fruit weren't packed, you might be without them until returning home. If you stumble upon them, will you pay a toonie for a banana at the coffee shop?"

I'd like to know what "key weight-loss strategy" they're thinking of. I suppose they think that if we all just nibble on iceberg lettuce, that surely we'll somehow magically get thin. They go on to give bad advice, first by saying that there's nothing decent to eat on-the-go (by decent, they mean full of fiber), and then saying if you do find it, it will be expensive. I hardly qualify a banana as being "healthy." Most people's insulin levels would spike, and they'd be hungry again in an hour. As for on-the-go food, I was thinking what a great thing the low carb diet is, as you can always get a huge bacon and cheese burger with lettuce, tomato, and mayonnaise and then toss the bun. You have a good bit of fat and protein that will keep you satiated for hours.

So why am I writing about this nonsense article, when there are so many other nonsense articles out there? Because two days later the same paper published two articles about how so many people in Saskatchewan are diabetic.
"Saskatchewan has the highest combined prevalence of diabetes and prediabetes on the Prairies and a quarter of our population will be living with either condition by the end of this decade...

It might be a tiresome old message to some ears, but diet and exercise is a good prescription to follow -both for those who have diabetes and those who want to avoid it."
Well, no wonder so many people have diabetes when the advice they're given is rubbish. As the proverb goes, you reap what you sow. In this case, bad advice has sown an epidemic of diabetes and obesity. And what happens? The diabetic gets blamed for their medical condition, a condition brought on by bad advice, which leads to other diseases that eventually cause death in a very long, drawn out, painful way. We can't possibly lay the blame where it belongs, which is at the feet of people who are supposed to be educated in medicine and diet, people who should know better, and yet ignore the evidence that what they're telling people, is making people sick and killing them.

Friday, February 11, 2011

Fructose and Fetal Harm

Via a comment on Fat Head:

A commenter on Fat Head left a link to this article, from New Zealand that fructose may affect the development of female children. Sucrose (table sugar) is half fructose, and High Fructose Corn Syrup is more than half fructose, depending on the mixture. And I need not point out that HFCS is in just about everything that's manufactured or processed. They slip it into the most innocuous places. Fructose also occurs in fruit, something that a lot of doctors push people, especially diabetics, to eat (detrimentally to their health I might add).

A lot of pregnant women may think that because they're not overweight, or they don't have gestational diabetes, that it's okay if they consume large quantities of sugar or fruit. They often use the fallacy that because we've been consuming sugar for a long time, it's not a problem. The thing is, we've not been consuming sugar or fruit in the quantities we do for very long. Sugar consumption in the past thirty years has skyrocketed to 150+ lbs per person per year in the States, whereas in the 19th century sugar consumption was only in the 15 to 20 lb range per year before 1850. And even just fifty years ago, most people only ate fruit when it was in season, which in most parts of the world is a limited time frame. I'm sure with the powers-that-be and doctors pushing fruit consumption, that it has also risen.

Is fructose safe?
"In the study, where rats were fed diets high in fructose during pregnancy and lactation, the sugar was found to change key metabolic hormone levels in both foetuses and new born offspring...

The fact that we saw no obvious weight gain implies that women may be unaware that their diet could be compromising the development of their fetus."

They don't say what metabolic hormones are affected specifically, but I'm thinking insulin is probably one of them. Now, I also read a study not too long ago that female rat offspring were also affected by maternal dietary salt restriction. Another thing that the doctors push on us, lower your salt intake they say! Salt restriction in the mother made the female offspring insulin resistant with increased adiposity (fat). The male offspring were not so affected. Does this mean that there would be nothing to worry about with males then?

I doubt it seriously. I read that in indigenous populations, such as the Pima, female hormones somehow protect women from getting diabetes, at least for a while. However, they get very obese instead. Eventually they get diabetes, but not before getting fat. It is theorized that the fat protects them from diabetes as long as their bodies can continue to convert excess sugar in the blood to fat and store it. Now, the men don't necessarily get as fat as the women, but they have an increased incidence in developing diabetes.

I'm glad to see that a news organization actually published something that goes against the party line. I guess they don't grow much corn or sugar in New Zealand. I'm waiting for one of the American news organizations to pick this up, but I won't hold my breath. Asphyxiation is no way to die.

Thursday, February 10, 2011

Parrot: "I'm a doctor!"

Are writers incapable of researching stuff before parroting what they're told? Are editors? I hope some are, but it seems like the majority aren't.

For example, this article from US News states that eating too much sodium leads to high blood pressure. Except it doesn't. A dietary reduction in salt can lead to a whopping 1.1 to 5 mmHg at *most*, if you believe meta-analysis. I'm completely underwhelmed. Most high blood pressure is genetic and diet has very little to do with it. If your blood pressure is high you need medication. That's about the only thing you'll hear me say that you need medicine for.
From the article:
"As a family doctor, I've observed that more and more of my practice is devoted to preventing and treating nutrition-related disorders such as high blood pressure, obesity, and diabetes. So I had hoped that the new dietary guidelines would provide me with concrete strategies for helping change my patients' eating habits for the better."

Why don't these doctors do some research instead of relying on Big Brother, er, I mean the government to tell them what to tell their patients? I guess they're too busy to read anything. Or to think for themselves. I find all kinds of interesting information simply searching Science Direct or even google. If they'd recommend to their patients to eat low-carb or paleo, most of their patients' health problems would improve and/or resolve themselves. In fact, I'd bet money on it. I'd even bet a million dollars. I could definitely use a million bucks.

Maybe they're scared? Taubes said in Why we get fat that no doctor was ever sued for recommending a low fat diet. I guess the acceptable killing of patients via the low fat nonsense is preferable to a lawsuit.

Insulin Resistance and Response

I've spent my day reading all about insulin resistance and insulin response. It's a very fascinating subject.

What prompted this was that I saw arguments on some forums that insulin has a short half-life, therefore it cannot have an adverse impact on tissue. I think that this is quite frankly, codswallop. Not because it's been proven one way or the other, but because the amount of time (or exposure) is not the only thing that determines damage. Frequency is just as important to take into consideration. Temporary high blood sugar spikes could possibly damage your internal organs. If it happens once, it might not be a problem, but when it happens repeatedly every day, over the course of time, it would come as no surprise if organ damage developed. Insulin does indeed have a short half-life, it is estimated to be between 9 and 16 minutes in humans.

However, this does not mean that insulin does it's job in this amount of time, nor does it mean that insulin is reduced completely in that amount of time. By definition, a half life is the amount of time it takes half of the thing in question to decay. Because it is always half, if you understand basic math, you will realize that it's exponential as to how long it takes for something to be cleared completely1 from a system.

The math is for n, the number of half lives elapsed, the percentage remaining is 100/(2^n). This does not tell you how much is left after n cycles, the quantity being dependent upon the initial amount produced or in the case of insulin, secreted. It takes five half-lives for complete decay to be achieved. This means that after a meal insulin is in your blood at higher than basal levels for at least 45 to 75 minutes based on the 9 to 16 minute half-life. However, in real life, it may be much longer. Insulin remained elevated in subjects after a meal for more than 120 minutes in this study. If you are eating high carb meals with snacks in-between, how often do you think your insulin levels are elevated?

In a healthy person, perhaps this isn't enough time to do damage, even with frequency (although I doubt it, which may be why almost everyone becomes insulin resistant at some point, even if it's when they're old). However, a lot of people become insulin resistant when young. Insulin resistance means that your cells are unable to use the glucose in your blood. Insulin secretion will continue in waves so long as glucose levels in the blood are raised. If glucose levels remain elevated long enough, your pancreas' β-cells may lose their ability to produce enough glucose and this is by definition diabetes.

So is it just carbs? Not completely. If you are insulin resistant, and trying to lose weight, one reason why it's very important to make sure that on a low carb or paleo diet that a good quantity of your diet is from fat, is because protein can cause an insulin response just like carbohydrates. So get the 'low fat' crap out of your head! One study showed that consuming a steak could cause plasma insulin levels to rise nearly 100 pmol/l above fasting levels, whereas cod fillet only caused a rise of 50 pmol/l. This may very well be because steak has about twice the protein as cod fillet. According to caloriecount.about.com, one ounce of steak has between 7.7 and 8.6g of protein (depending upon the type of steak). The same amount of cod fillet has 4.8g of protein. The study's authors say the difference in insulin response could also be attributed to carnosine, a dipeptide which is found in beef but not cod. Regardless, lean meat can cause an insulin response.

Keep in mind that protein is vital for rebuilding muscles, and if you're weightlifting you may need more than someone who's not.

Now, what do all these studies mean? Not a damned thing if you ask me. Honestly, the people funding the study influence the results. The data can really be interpreted to mean anything. And I do mean anything. We now know that cholesterol doesn't cause heart disease, but rather inflammation and homocysteine probably do. And yet there are dozens of studies about the nefarious effects of cholesterol, most of them poorly done, and the data manipulated to say what the researchers wanted to be said.

So, what causes insulin resistance? It seems no one is very sure, and there may be multiple causes. Some say it's chronically elevated insulin due to elevated blood glucose from over consumption of carbohydrates. Some of it is probably genetic. Whatever causes it, eating low carb or paleo is beneficial, as it reduces inflammation and makes insulin resistance unlikely. Indeed, though it is anecdotal, many people have noticed improved glucose tolerance after eating low carb for a long time.


1 Insulin is never completely cleared from our system. We secrete insulin in small amounts every few minutes, even when we haven't eaten.

Tuesday, February 8, 2011

There's No Fat in Sugar

We have an obesity epidemic in this country because our government, dietitians and doctors continue to give people the wrong information. Take for example an article on the Pima Indians from the NIH.
"Thirty years of research show that exercising and eating lower fat, fiber-rich foods can at least delay diabetes. "If you delay it long enough," adds Dr. Knowler, "It's almost as good as preventing it...

[NIH doctors] also discovered that high levels of insulin in the blood, or hyper-insulinemia, is another strong risk factor.

Studying this clue, researchers working with patients found that high levels of insulin were linked to insulin resistance. Normally, the pancreas releases insulin to regulate the amount of sugar or glucose in the blood. People who have non-insulin-dependent or Type II diabetes (hereafter referred to simply as "diabetes") produce insulin, but their bodies don't respond to it effectively. NIH researchers have made it clear that people with insulin resistance are those most likely to get diabetes...

The second strategy is to encourage those who are at high risk to change behaviors that can lead to diabetes, such as eating a high fat diet, being physically inactive, and being overweight.

The NIH has begun a major nation-wide program to prevent diabetes in people who increase exercise and eat lower fat foods." [emphasis mine]

Now let me explain something to you that even a five year old should be able to understand. We have three basic nutrients, fat, carbohydrates and protein. Carbohydrates break down in the blood into sugar. This causes you to secrete insulin, sometimes it makes people insulin resistant, some think quite possibly because of exposure to sugar and/or refined carbohydrates.

Once you are insulin resistant, simply cutting out the sugar and simple carbohydrates doesn't stop you from being insulin resistant. If you continue to eat carbohydrates, depending on genetics, you may become type 2 diabetic. If you don't eat carbohydrates, and restrict them severely, you will not. It's not possible (to my knowledge) to become diabetic if you are not eating carbs, because you don't have an increase in blood sugar if you're not consuming carbohydrates and therefore very little insulin is secreted. Some people can eat more carbs than others and be okay. Some have to cut out all carbohydrates, as in the case Taubes mentions in his book about the du Pont executive who couldn't even eat an apple. Some have said their insulin resistance improves after months of being on a low carb diet, and they can then have some carbs without having problems.

So you tell me why in the hell they are advocating that people who are already insulin resistant eat more carbohydrates? Because that's what they're doing. By lowering fat you raise carbohydrate consumption. Protein intake cannot increase very much, you can't tolerate too much of it (unless you're body building and breaking down muscle).

Why do they blame fat? I think it's because of the mistaken notion that since the Pima were agriculturalists that meant they didn't eat meat and that they only ate carbs. There isn't a single documented case of a native society being completely vegetarian, that I know of anyway. They usually tend to eat whatever they can get their hands on.
"A dietary change common to all these cases [of Native American cultures] has been the increased consumption of sugar and refined carbohydrates ... Since the key diagnostic feature of diabetes is high blood sugar, often accompanied by sugar in the urine, diabetes is frequently spoken of as "sugar diabetes" and "I've got sugar" or "I've got high sugar"... All carbohydrates cause a rise in blood glucose, and the glycemic index, a meaure of the impact of food or a meal on the rise in blood glucose, has a significant but transitory effect on both insulin production and glucose homeostasis." --from the Encyclopedia of medical anthropology by Carol R Ember, p 342

Since the Pima didn't grow sugar or refine grain to within an inch of it's life, I'm going to go with door number 1. And that is, the Pima are overweight or obese and diabetic because they consume carbohydrates typically found in the western diet. They may have consumed carbohydrates before contact with Europeans, but they were not the same kind of carbohydrates. Also, because they live in a rather inhospitable place, they may have not gotten enough calories, and this functions in much the same way as carbohydrate restriction if Ancel Key's studies on starvation are worth anything.

It's sad that all of the Native Americans' ancestors were screwed over by the Europeans. But what's even sadder, is that they are continuing to be screwed over even today, just like every other overweight or obese person in this country who has been told that they're fat because they eat too much. They will continue to get type 2 diabetes, will continue to have legs amputated and will continue to die prematurely as long as the lie that fat is the problem is perpetuated.

Monday, February 7, 2011

Baby Formula is Junk Food: A Not-So Good Start

Not having children, and I would breast feed if I did, I never realized what was in baby formula. Have you looked at it?

Now knowing that sugar and refined carbohydrate consumption cause insulin resistance, which in turn causes diabetes and a host of other metabolic problems, you would that that baby formula would be the last place you'd find said ingredients.

But no! I, as an adult, wouldn't consume what's in baby formula, and yet people are feeding it to their children, probably because they think don't have a choice.

Out of many of the formulas I looked at on the shopwell website, which will give you nutrition facts and ingredient lists, a common first ingredient in baby formula was 'corn syrup solids' or 'corn syrup'. This is simply a form of corn sugar, not unlike High Fructose Corn Syrup, except not as sweet. Common second and third ingredients are vegetable oils, corn maltodextrin (another sugar absorbed as rapidly as glucose), and sugar (sucrose, which is table sugar).

Now you tell me, do any of these things come out of a woman's breast? Do you think that this matches breast milk? Not no, but hell no. Breast milk has animal fat in it, we being animals and all. It is not soybean oil, or sunflower oil, or any other oil derived from a plant. Also, the sugar in breast milk is lactose, it is not sucrose. It is absorbed slower by the blood stream, lactose having a much lower glycemic index than sucrose (46 vs. 61). Also breast milk has more whole, saturated fat in it, which slows the absorption of lactose even more. This matters in terms of insulin resistance! These things are not the same, they are completely different.

Besides the main ingredients, infant formula also has mono- and diglycerides, a hydrogenated oil (trans fat) that is used as an emulsifier. It also has carrageenan to extend shelf life.

Mothers often have no choice but to work, and often either don't have the facilities or time at work to pump breast milk, or they don't know they ought to. They probably think formula is fine. Why is this allowed? Breast milk is best obviously, but in the case it can't be used why must we have junk food as formula?

It's ridiculous. I wouldn't be at all surprised if this is part of the reason why so many children are obese and type II diabetic.

Some examples:
Enfamil Prosobee, first ingredient Corn Syrup Solids, second ingredient is vegetable oil

Gerber good start Soy Plus, first ingredient is Corn Maltodextrin, second is vegetable oil

Similac Sensitive, first ingredient is Corn Syrup Solids, followed by sugar, as in table sugar.

And these are just a few of the ones on there. Almost all of them are the same crap.

I know that some infants are lactose intolerant or that some women don't produce enough milk. If you cannot feed your baby breast milk, I suggest looking into meat based formula. I know that's what I was fed, because I was allergic to milk and soy protein. I couldn't have regular formula or soy formula. Of course this was a long time ago, so if you found such formula now it may have crap in it too. Also, I bet regular baby formula when I was a baby did not have this crap in it.

Ridiculous. That's all I can think.

Sunday, February 6, 2011

Unintended Consequences: Salt Intake, Obesity and Insulin Resistance

When William Banting wrote his Letter on Corpulence in 1863, the medical community attacked him like piranhas in a lake filled with hemophiliac swimmers. Gary Taubes describes this best in his book Good Calories, Bad Calories:
"The medical community of Banting's day didn't quite know what to make of him or his diet. Correspondents to the British Medical Journal seemed occasionally open-minded, albeit suitably skeptical; a formal paper was presented on the efficacy and safety of Banting's diet at the 1864 meeting of the British Medical Association. Others did what members of established societies often do when confronted with a radical new concept: they attacked both the message and the messenger. The editors of The Lancet, which is to the BMJ what Newsweek is to Time, were particularly ruthless. First, they insisted that Banting's diet was old news, which it was, although Banting never claimed otherwise. The medical literature, wrote The Lancet, "is tolerably complete, and supplies abundant evidence that all which Mr. Banting advises has been written over and over again." Banting responded that this might well have been so, but it was news to him and other corpulent individuals." [emphasis mine]

It was news to me as well. No one told me that I should eat that way. But what else was news to me is this, apparently restricting sodium intake can cause and/or aggravate insulin resistance. In a country with what some call a "diabetes epidemic" why are nutritionists still advocating restricting sodium intake? Especially when lower salt intake does little for lowering blood pressure, which is why it's pushed on the general public in the first place. One review found that a reduction in dietary sodium would amount to systolic blood pressure being lowered by a whopping mean of 1.1 mmHg, and diastolic by an even more underwhelming mean of 0.6 mmHg.

I suppose part of it may be because it seems a lot of the studies done were published in a journal called American Journal of Hypertension over the last 20(!) years, and I guess the "experts" and the "nutritionists" don't read it. I mean, don't read period. Because if they did, they'd have read Taubes and the plethora of other studies that would tell them that what they're telling people is flat out wrong and is killing them.

Not only can salt restriction apparently be bad for insulin resistance, but one study showed giving people more salt helps alleviate it and makes them more sensitive to the insulin.
"For the group as a whole, urinary sodium excretion increased on sodium chloride to 267 ± 118 mEq/day versus control (placebo) phase of 135 ± 53 mEq/day, P < .001. Total glycemic response in the oral GTT (area under the glucose curve) was 8.0% lower during sodium supplementation, P < .001. Secondary analysis revealed that the effect of sodium was noteworthy in 1) type 2 diabetic subjects (n = 8), 2) sodium -sensitive subjects (n = 10), and 3) nondiabetic subjects receiving antihypertensive drug treatment (n = 6). The total insulinemic response to oral GTT was also lowered by sodium loading among diabetic subjects. Thus, an abundant sodium intake may improve glucose tolerance and insulin resistance, especially in diabetic, salt-sensitive, and or medicated essential hypertensive subjects." [emphasis mine]

(The effect of sodium supplementation on glucose tolerance and insulin concentrations in patients with hypertension and diabetes mellitus, from the American Journal of Hypertension, Volume 14, Issue 7, July 2001, Pages 653-659)

One of the most recent and largest studies from the journal Metabolism, took data from 152 healthy people who were prescribed a high or low salt diet. It too found that a low salt diet was associated with increased insulin resistance.

People are expensive to do studies on. You have to pay them to participate. Lab rats on the other hand are cheap and you don't have to pay them anything and you get to dissect them when the study is over so you can obtain even more information on what was going on physiologically. One rat study found:
"In the present study, higher body weight, blood glucose, plasma insulin, triacylglycerols (triglycerides) and cholesterol, hematocrit and heart rate were observed in animals on low salt intake compared to the normal-salt group. Blood pressure and glucose uptake were lower on low-than on normal-salt diet." [emphasis mine]

(Insulin resistance due to chronic salt restriction is corrected by α and β blockade and by l-arginine, from Physiology & Behavior, Volume 88, Issues 4-5, 30 July 2006, Pages 364-370)


If you've been paying attention, insulin resistance (and by extension diabetes) is associated with obesity. Apparently one study showed that restricting salt intake in female Wistar rats predisposed their female offspring to obesity.

Most of the studies say that more and larger studies are needed. As mentioned above, studies are expensive. There were some studies in humans that found the opposite or no correlation between salt intake and insulin resistance, but of these I saw, they used a very small number of people, in one only eight and were very short term. That's not enough subjects or time to get meaningful data. We need large studies with lots of people, that way individual variation is controlled for. All of the rat studies I found showed a correlation with low salt intake and insulin resistance, and since rats are cheap, there were more rats involved than people. It may be that some people are not as effected by low sodium intake as others.

So here we have unintended consequences, in that nutritionists are advocating you messing with your diet for what might amount to a slightly lower blood pressure, at the expense of something else completely unforeseen. How do you like being an unwitting participant in one of the biggest health studies ever made? Because that's what you are if you live in any country that follows the dietary guidelines set forth by the USDA. You may think you have no problem eating as you are, but the food manufacturers have made it a point to remove salt and fat from the food they sell you. So unless you are making a concerted effort to add it back in, you may well be deficient and not even know it.

Common sense is indeed not very common. If excess salt intake had anything to do with ill health, the human race in western Europe and elsewhere would not have survived into the modern era. Last I checked, prior to the 20th century, people did not have refrigeration and used, get this, salt and LOTS of it to cure meat. I doubt there's any way to find out exactly how much they consumed, but it was way more than we do now. And since we don't have reports that medieval people were dropping dead from stroke or heart disease (plague is another matter), I dare say the salt wasn't a primary cause of mortality. Of course, absense of evidence is not evidence of absence, and maybe they just didn't live long enough for the salt to kill them.

Saturday, February 5, 2011

In the beginning...

In the beginning God created journalists. And they were real journalists, in that they rooted out the truth and gave it to the general public. But then somehow things changed, as they usually do, and journalists became beholden to corporate interests. And they stopped telling you (the public) the truth and began telling you what they thought was the truth. Or rather, what they thought ought to be the truth. It may not have been entirely their fault. They were lied to. But instead of investigating whether what they were told was a lie or not, they accepted it at face value. Perhaps the scent of money to be had made them shut their eyes and their ears and accept the lies. I suppose the glint of silver does that to a person.

We know it's a lie. Gary Taubes has shown us all that. The man deserves a nobel prize.

What pisses me off, is that I was lied to. Isn't that how it usually is? Humans are very self-centered creatures for the most part. I was told all my life that I ate too much, and that was why I was fat. In my case though, I now know that's not true and I can do something about it. I've lost about forty pounds since I read Taubes' book last May.

The same can't be said for the millions of dead. That's not hyperbole either. Almost everyone who has died of complications from diabetes in the last thirty years might have been saved if they'd only been told the truth, instead of to "eat more fruit." That includes my mother's best friend, who lost her leg before she lost her life some years ago now.

The lies go on almost every day in the press and on the daily news or morning show, and people continue to believe them. And until the lie is stopped, we'll have more dead best friends, more dead mothers, more dead sisters, etc... It doesn't have to be this way.